County Medical Services

IMPORTANT UPDATE 

Pharmacy Notice

Pharmacy FAQ

New Pharmacy Network Changes

LIHP & CMS Pharmacy Listing - English & Spanish

A program that funds medical care for uninsured indigent adult county residents. While not a health insurance program, CMS funds services through a network of community health centers, private physicians and hospitals.

County Medical Services information:

Effective Immediately the following LIHP/CMS Provider numbers have changed:

    Provider Authorization Phone Number is now  858-658-8650

    Medical Management Fax Number is now  855-394-7927

• How to apply
• CMS Brochures
• CMS Handbooks
• CMS Minimum Eligibility Criteria
• CMS Frequently Asked Questions
• CMS Medical Policies
• CMS Formulary
• LIHP Medical Policies
• LIHP Formulary
• LIHP Provider Handbook
• LIHP Provider FAQ
• LIHP-CMS Pharmacy Listings
• Specialty Referral Guidelines

Forms offered by County Medical Services:

• Drug Prior Authorization Request form
• Treatment Authorization Request (TAR)
• Formulary Change Request form
• CMS Work History form
• Dental Work History form

  CMS Brochures

Provides basic County Medical Services application information.

View the County Medical Services Brochure:

• English Brochure
• Spanish Brochure

  CMS Handbooks

The following handbooks provide information about County Medical Services.

• Patient Handbook - Provides County Medical Services (CMS) information on how to receive medical services for CMS patients.
• Patient Handbook (Spanish) - Proporciona información sobre County Medical Services de como recibir servicios de salud para miembros de CMS.
• Provider Handbook - Provides County Medical Services (CMS) Program information for Providers.
• Physician Emergency Services Fund Handbook - Information on the distribution of the Maddy Emergency Medical Services Funds, CHIP-Emergency Medical Services Appropriation (EMSA) funds and CHIP-Physician (PES) funds.

  CMS Minimum Eligibility Criteria

To be eligible to County Medical Services (CMS) a person must meet the minimum eligibility criteria.

Minimum Eligibility Criteria

• Have a immediate or long-term medical need
• Be 21 through 64 years of age
• Be a U.S. citizen or an eligible alien, and be able to provide documentation of U.S. citizenship or legal alien status.
• Be a resident of San Diego County
• Sign lien forms for services covered by CMS
• Meet CMS financial requirements or receive General Relief
• Click here for CMS income limits

 How to apply:

• Call 1-800-587-8118 to request an appointment and apply for CMS.
• Appointment locations are listed in the Patient Handbook.

For more information go to Frequently Asked Questions.